Medical Practice Consulting

Private Practice & Specialty Practice Setup

We help physicians and specialists open and credential their own private practices — from NPI and CAQH credentialing to EHR setup, insurance contracting, Medicare & Medicaid enrollment, and HIPAA compliance. The same systematic approach we use for pharmacy setup, applied to medical private practice.

Full Setup: PA, NJ & DE Credentialing Consulting: All 50 States All Specialties Welcome

Specialties We Work With

Internal Medicine
Pediatrics
Family Medicine
Dermatology
Ophthalmology
Orthopedics
OB/GYN
Urgent Care
Pulmonology
Psychiatry
Pain Management
Endocrinology
Why Work With Us

We've Done This Before. Many Times.

Our founder built his reputation opening and setting up over 50+ independent pharmacies across PA and NJ — and the same credentialing, compliance, and launch expertise that process required applies directly to medical private practice setup. We understand payer enrollment timelines, state licensing hurdles, and the operational details that trip up first-time practice owners.

We don't just hand you a checklist — we work alongside you, handling the paperwork, coordinating with payers, and making sure you open on time and in-network.

50+ Practices Opened

Proven, repeatable process for getting practices open on schedule.

Credentialing Done Right

We handle CAQH, NPI, and payer applications simultaneously to save time.

Nationwide Credentialing

Consulting available across all 50 states for remote credentialing support.

HIPAA-Ready from Day 1

Policies, staff training, and BAAs set up before your first patient walks in.

What's Included

Private Practice Setup Services

Everything you need to open a compliant, credentialed, and fully operational medical practice.

NPI Type 1 & Type 2 Registration

Individual and group NPI registration for all providers, ensuring your practice is properly enrolled for billing.

CAQH ProView Credentialing

Complete CAQH profile setup and attestation for insurance panel applications with major payers.

Insurance Panel Contracting

Applications and negotiations with commercial payers, BCBS, Aetna, Cigna, UHC, and regional insurers.

Medicare & Medicaid Enrollment

PECOS enrollment for Medicare Part B and state Medicaid provider enrollment from start to approval.

EHR System Setup

Selection and implementation of Electronic Health Record systems tailored to your specialty and workflow.

Medical Billing System

Practice management software setup, billing workflows, and clearinghouse integrations for clean claim submission.

DEA Registration (if applicable)

DEA registration for practices prescribing controlled substances — coordinated with state scheduling rules.

State Medical Licensure

Guidance on state-specific medical license applications, verifications, and renewal management.

Site & Build-Out Coordination

Office layout planning, HIPAA-compliant build-out coordination, signage, and pre-opening inspection support.

Staffing & HR Setup

Front desk, MA, and clinical staff onboarding guidance, job descriptions, and compliance training checklists.

HIPAA Compliance Setup

Policies, procedures, BAAs, and staff training to ensure your practice is fully HIPAA-compliant from day one.

Practice Website & Local SEO

Professional medical website design with local SEO so new patients find you on Google — not your competitors.

How It Works

Our Practice Setup Process

A clear, structured roadmap — from concept to your first patient appointment.

01

Discovery Call

We learn your specialty, target payers, location, and timeline. We map out exactly what's needed.

02

Entity & Licensure

Business entity formation, state medical license verification, DEA registration, and state-specific requirements.

03

Credentialing

NPI setup, CAQH profile, and simultaneous insurance panel applications so you're in-network from day one.

04

Technology & Billing

EHR selection, practice management setup, clearinghouse integrations, and billing workflow configuration.

05

Site & Compliance

Build-out coordination, HIPAA documentation, staff training checklists, and pre-opening walkthroughs.

06

Open Day Ready

Final systems check, billing test runs, staff readiness review — and you open on schedule.

Ready to Open Your Private Practice?

Let's build your practice setup plan. Free consultation — no pressure, just a roadmap.